Peer-Reviewed Journal Tracking and Analyzing Disease Trends pages 1993–2186 EDITOR-IN-CHIEF D. Peter Drotman Managing Senior Editor EDITORIAL BOARD Polyxeni Potter, Atlanta, Georgia, USA Dennis Alexander, Addlestone Surrey, United Kingdom Senior Associate Editor Timothy Barrett, Atlanta, GA, USA Brian W.J. Mahy, Bury St. Edmunds, Suffolk, UK Barry J. Beaty, Ft. Collins, Colorado, USA Martin J. Blaser, New York, New York, USA Associate Editors Sharon Bloom, Atlanta, GA, USA Paul Arguin, Atlanta, Georgia, USA Christopher Braden, Atlanta, GA, USA Charles Ben Beard, Ft. Collins, Colorado, USA Mary Brandt, Atlanta, Georgia, USA Ermias Belay, Atlanta, GA, USA Arturo Casadevall, New York, New York, USA David Bell, Atlanta, Georgia, USA Kenneth C. Castro, Atlanta, Georgia, USA Corrie Brown, Athens, Georgia, USA Louisa Chapman, Atlanta, GA, USA Charles H. Calisher, Ft. Collins, Colorado, USA Thomas Cleary, Houston, Texas, USA Michel Drancourt, Marseille, France Vincent Deubel, Shanghai, China Paul V. Effl er, Perth, Australia Ed Eitzen, Washington, DC, USA David Freedman, Birmingham, AL, USA Daniel Feikin, Baltimore, MD, USA Peter Gerner-Smidt, Atlanta, GA, USA Anthony Fiore, Atlanta, Georgia, USA Stephen Hadler, Atlanta, GA, USA Kathleen Gensheimer, Cambridge, MA, USA Nina Marano, Atlanta, Georgia, USA Duane J. Gubler, Singapore Martin I. Meltzer, Atlanta, Georgia, USA Richard L. Guerrant, Charlottesville, Virginia, USA David Morens, Bethesda, Maryland, USA Scott Halstead, Arlington, Virginia, USA J. Glenn Morris, Gainesville, Florida, USA David L. Heymann, London, UK Patrice Nordmann, Paris, France Charles King, Cleveland, Ohio, USA Tanja Popovic, Atlanta, Georgia, USA Keith Klugman, Atlanta, Georgia, USA Didier Raoult, Marseille, France Takeshi Kurata, Tokyo, Japan Pierre Rollin, Atlanta, Georgia, USA S.K. Lam, Kuala Lumpur, Malaysia Ronald M. Rosenberg, Fort Collins, Colorado, USA Stuart Levy, Boston, Massachusetts, USA Dixie E. Snider, Atlanta, Georgia, USA John S. MacKenzie, Perth, Australia Frank Sorvillo, Los Angeles, California, USA Marian McDonald, Atlanta, Georgia, USA David Walker, Galveston, Texas, USA John E. McGowan, Jr., Atlanta, Georgia, USA J. Todd Weber, Atlanta, Georgia, USA Tom Marrie, Halifax, Nova Scotia, Canada Henrik C. Wegener, Copenhagen, Denmark Philip P. Mortimer, London, United Kingdom Fred A. Murphy, Galveston, Texas, USA Founding Editor Barbara E. Murray, Houston, Texas, USA Joseph E. McDade, Rome, Georgia, USA P. Keith Murray, Geelong, Australia Copy Editors Claudia Chesley, Karen Foster, Thomas Gryczan, Stephen M. Ostroff, Harrisburg, Pennsylvania, USA Nancy Mannikko, Beverly Merritt, Carol Snarey, P. Lynne Stockton, David H. Persing, Seattle, Washington, USA Caran R. 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Frederick Sparling, Chapel Hill, North Carolina, USA Robert Swanepoel, Pretoria, South Africa The opinions expressed by authors contributing to this journal do not neces- sarily refl ect the opinions of the Centers for Disease Control and Prevention or Phillip Tarr, St. Louis, Missouri, USA the institutions with which the authors are affi liated. Timothy Tucker, Cape Town, South Africa All material published in Emerging Infectious Diseases is in the public do- Elaine Tuomanen, Memphis, Tennessee, USA main and may be used and reprinted without special permission; proper citation, John Ward, Atlanta, Georgia, USA however, is required. Mary E. Wilson, Cambridge, Massachusetts, USA Use of trade names is for identifi cation only and does not imply endorsement by the Public Health Service or by the U.S. Department of Health and Human ∞ Emerging Infectious Diseases is printed on acid-free paper that meets the requirements Services. of ANSI/NISO 239.48-1992 (Permanence of Paper) Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 17, No. 11, November 2011 November 2011 On the Cover Dispatches Georges Desarmes (b. 1950) The Bathers (2006) 2035 International Spread of MDR TB from Acrylic on canvas Tugela Ferry, South Africa (61 cm × 50.8 cm) 2038 Seasonal Infl uenza A Virus in Feces of Courtesy of Patrick Lammie Hospitalized Adults 2043 Infl uenza B Viruses with Mutation in the About the Cover p. 2181 Neuraminidase Active Site, North Carolina, 2010–11 Research 2047 Hepatitis E Virus in Rabbits, Virginia 2050 Astrovirus MLB2 Viremia in Febrile Child Deaths Associated with 2053 New Dengue Virus Type 1 Genotype in Pandemic (H1N1) 2009 among Colombo, Sri Lanka Children, Japan, 2009–2010.....................1993 2056 Ultrastructural Characterization of A. Okumura et al. Pandemic (H1N1) 2009 Virus Encephalopathy and unexpected cardiopulmonary arrest 2060 Molecular Subtyping in Cholera Outbreak, were the leading causes of death. Laos, 2010 2063 Clonal Origins of Vibrio cholerae O1 El Tor Strains, Papua New Guinea, 2009–2011 Global Distribution and Epidemiologic Associations of Escherichia coli Clonal Group A, 1998–2007 .....................2001 Commentary J.R. Johnson et al. 2066 In Memoriam: David Judson Sencer, This group was associated with the Western world, trimethoprim/sulfamethoxazole resistance, and diverse p. 2036 A Public Health Giant hosts/specimens. Group A Streptococcus emm Gene Letters Types in Pharyngeal Isolates, Ontario, 2069 Fatal Infectious Diseases during Canada, 2002–2010...................................2010 Pandemic (H1N1) 2009 Outbreak P.R. Shea et al. 2070 Epidemic Meningococcal Meningitis, Determination of emm variations may help improve vaccine Cameroon design. 2072 Foodborne-associated Shigella sonnei, p. 2066 India, 2009 and 2010 2074 Mosquito-associated Dengue Virus, Key Close Similarity between West, Florida, 2010 Sequences of Hepatitis E Virus Recovered from Humans and 2075 Mycobacterium doricum Osteomyelitis and Soft Tissue Infection Swine, France, 2008–2009 .......................2018 J. Bouquet et al. 2077 Disseminated Mycobacterium abscessus Autochthonous human infection may result from consumption Infection and Showerheads, Taiwan of pork products such as raw liver. 2078 Antimicrobial Drug Resistance in Corynebacterium diphtheriae mitis Dynamics of Cholera Outbreaks 2080 Transfusion-transmitted Syphilis in in Great Lakes Region of Africa, Teaching Hospital, Ghana 1978–2008..................................................2026 2082 Congenital Syphilis, Réunion Island, 2010 D. Bompangue Nkoko et al. Outbreaks fl uctuate on the basis of season, rainfall, plankton 2083 Reduced Susceptibility to Vancomycin in bloom, and fi shing activities. Staphylococcus aureus (response) Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 17, No. 11, November 2011 Book Review 2085 Smallpox: The Death of a Disease and November 2011 House on Fire: The Fight to Eradicate Smallpox 2139 Rapid Assessment of Cholera-related CHOLERA IN HAITI Deaths, Artibonite Department, Haiti 2143 Epidemic Cholera in a Crowded Urban Environment, Port-au-Prince, Haiti, 2010 Synopses 2147 Toxigenic Vibrio cholerae O1 in Water and Lessons Learned during Public Health Seafood, Haiti Response to Cholera Epidemic in Haiti 2151 Drug-Resistance Mechanisms in Vibrio and the Dominican Republic ...................2087 cholerae O1 Outbreak Strain, Haiti, 2010 J.W. Tappero and R.V. Tauxe 2155 Cholera Management and Prevention at Safe water and sewage systems must be constructed to Hôpital Albert Schweitzer, Haiti prevent future epidemics. 2158 Knowledge, Attitudes, and Practices Nationwide Training Program for Related to Treatment and Prevention of Cholera, Haiti, 2010 Cholera Management, Haiti, 2010 ...........2094 2162 Cholera Prevention Training Materials R.V. Tauxe et al. p. 2156 Rapid training of health care staff was followed by lower for Community Health Workers, Haiti, death rates. 2010–2011 2166 Cholera in United States Associated with Cholera—Modern Pandemic Epidemic in Hispaniola Disease of Ancient Lineage .....................2099 2169 Travel Health Alert Notices and Haiti J.G. Morris Jr. Cholera Outbreak, Florida, 2011 Environmental triggers may lead to increases in Vibrio 2172 Multinational Cholera Outbreak after cholerae in environmental reservoirs, with spillover into human populations. Wedding in the Dominican Republic Considerations for Oral Cholera Commentary Vaccine Use during Outbreak after 2175 Haiti in the Context of the Current Global Earthquake in Haiti, 2010–2011 ...............2105 Cholera Pandemic K.A. Date et al. p. 2163 Many logistical and operational challenges prevented implementation of a vaccination campaign. Letters 2177 Preparing Health Care Workers for a Research Cholera Epidemic, Dominican Republic, Comparative Genomics of Vibrio cholerae 2010 from Haiti, Asia, and Africa ......................2113 2178 Understanding the Cholera Epidemic, Haiti A.R. Reimer et al. (response) A strain from Haiti shares genetic ancestry with those from Correction